Individual
KALYN TACHOVAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
567 W SHAW AVE STE A1, FRESNO, CA 93704-2504
(559) 899-3176
Mailing address
1111 VAN NESS AVE STE 101, FRESNO, CA 93721-2002
(559) 265-3000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
03/21/2025
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